Stiffness a Complication of Total Knee Arthroplasty and Its Management
Journal Title: Journal of Medical Science And clinical Research - Year 2016, Vol 4, Issue 9
Abstract
Total knee replacement is a highly successful procedure with a success rate of survivorship of 10 to 15 years exceeding 90%[1,2]. However despite advances in the surgical technique and rehabilitation post-operative stiffness continues to be relatively common complication[3-5] Stiffness is defined as an inadequate range of motion (ROM) that results in functional limitations in activities of daily living. Although early studies reported stiffness in >50% of patients with TKA,[6] the true incidence appears to be 8% to 12%[3,7,8] . The incidence of complete fibrous ankylosis after TKA is about 0.1%. Biomechanical studies and gait analysis have shown that patients require 67° of knee flexion during the swing phase of gait, 83° to ascend stairs, 90° to 100° to descend stairs, 93° to rise from a standard chair, and up to 105° to rise from a low chair
Authors and Affiliations
Shiekh Ajaz
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